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Contact Information

AD ASTRA MEDICAL GROUP PROFESSIONAL
3110 GRAND AVE
PINELLAS PARK, FL33782-6151
 Phone: 917-853-7642
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for AD ASTRA MEDICAL GROUP PROFESSIONAL

NPI # 1881345775
LBN Legal business name AD ASTRA MEDICAL GROUP PROFESSIONAL
Authorized official NHEAN CHEA - (CEO, MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2022
Last updated 01/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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